Staff Nurse - RN - Medical Management jobs in the United States

Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - Medical Management assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Additionally, Staff Nurse - RN - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2021 Salary.com)

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Travel Nurse RN - Med Surg / Telemetry - $2,160 per week
  • Vivian Health
  • Honolulu, HI
  • MedPro Healthcare Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing ... to manage illness. Due to the broad range of medical conditions Med/Surg Nurses will encounter ...
  • 2 days ago

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Staff RN - North Medical Surgical
  • Providence St. Joseph's Health
  • Lake Arrowhead, CA
  • We are looking for a Staff Registered Nurse for the North Medical Surgical Department at St. Mary ... Knows staff nurse is a team member in the Utilization Management process. * Participates in ...
  • 2 days ago

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RN Med Surg Ortho FT Days
  • Baylor Scott & White Health
  • Dallas, TX
  • ... staff. Develops therapeutic relationships with patient and family and maintains appropriate ... Manages both emotional and physical pain with the aim of promoting comfort and healing and ...
  • 3 days ago

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RN Case Manager- Honolulu HI (TJ)
  • Continuum Medical Staffing
  • Honolulu, HI
  • Minimum 1 year of Case Management experience * HI RN License & BLS required. CCM preferred Keyphrases: medical case management jobs, case manager jobs, case manager consultant jobs, case management ...
  • 3 days ago

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Staff RN II - Medical -Surgical IE
  • Providence St. Joseph's Health
  • Eldridge, CA
  • Under the direction of the Department Manager, the Staff Nurse II uses the nursing process to ... Current California RN licensure * BLS within 60 days of hire Preferred Position Qualifications
  • 3 days ago

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RN / Registered Nurse / Oregon / Any / Travel RN-Medical/Surgical Job
  • All Medical Personnel
  • Lebanon, OR
  • ASAP Job Description * Assist physicians with patient management * Identifies irregular telemetry ... staff members. Benefits * 1st Day Insurance Benefits including: Health, Vision, Dental and Pet
  • 5 days ago

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Registered Nurse (RN) - $5,000 Sign On Bonus
  • Prestige Care, Inc.
  • Oregon City, OR
  • Robust and comprehensive benefits package including medical, dental, vision, EAP, 401k match ... Lots of training and support from the Resident Care Managers, Staff Development Coordinators, and ...
  • 6 days ago

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Travel Nurse RN - Med Surg - $2,119 per week
  • Vivian Health
  • Kansas City, MO
  • Medmetry is seeking a travel nurse RN Med Surg for a travel nursing job in Kansas City, Missouri ... in clinical staffing, implementation support, training, project management, and technical ...
  • 6 days ago

Income Estimation for Staff Nurse - RN - Medical Management jobs
$76,117 to $89,030